NPIMap

Individual provider Active NPI

Charles R. Griffith, M.D.

  • Family Medicine Physician
  • Columbia, MS
National Provider Identifier
1205891975
Registry record updated Dec 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
17786 Issued in MS
Practice address
1560 Sumrall Rd
Columbia, MS 39429-2654
Phone
(601) 261-2940
Fax
(601) 261-2942
NPI assigned
Apr 18, 2006
Last updated
Dec 7, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 17786 MS Primary

Addresses

Primary practice location

1560 Sumrall Rd
Columbia, MS 39429-2654

Mailing address

PO Box 630
Columbia, MS 39429-0630
Phone (601) 261-2940

Other identifiers 2

IdentifierTypeStateIssuer
00126499MedicaidMS
7074524OtherMSAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080219000493 MS Practitioner - Family Practice 9436150513 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in Shreveport, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forrest County General HospitalGroup PAC ID 1052397767, 107 clinicians

Practice addresses (Care Compare)

146 Highland Pkwy
Picayune, MS 39466-5575
Phone (601) 358-9765

415 S 28TH Ave
FL 1
Hattiesburg, MS 39401-7246
Phone (601) 579-3300

6051 U S Hwy 49
Hattiesburg, MS 39401-7200
Phone (601) 288-4273

6051 US Hwy 49 S
Hattiesburg, MS 39401-7200
Phone (601) 288-7000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Forrest County General Hospital CurrentSince Feb 23, 2011 Accepting new patients
Forrest County General Hospital CurrentSince Sep 1, 2018 Accepting new patients
Forrest County General Hospital Current Accepting new patients
Pioneer Health Care , LLC CurrentSince Mar 1, 2017 Accepting new patients
Forrest County General Hospital Family Medicine CurrentSince Sep 1, 2018 Accepting new patients
Pearl River County Hospital Family Medicine CurrentSince Feb 23, 2011 Accepting new patients
Horizon Medical Providers LLC Family Medicine CurrentSince May 1, 2025 Accepting new patients
Marion General Hospital Past Accepting new patients
Forrest County General Hospital Past Accepting new patients
Collins Community Care Center LLC Past Accepting new patients
Forrest County General Hospital Past Accepting new patients
Lamar Healthcare & Rehabilitation Center LLC Past Accepting new patients
Columbia Community Care Center LLC Past Accepting new patients
Conx Care Corporation Family Medicine Past Accepting new patients
Lamar Community Care Center LLC Past Accepting new patients
Pine Belt Anesthesia, LLC Past Accepting new patients

Locations

1560 Sumrall Rd
Columbia, MS 39429
Phone (601) 736-6303

1 Lincoln Pkwy
Ste 302
Hattiesburg, MS 39402
Phone (601) 268-5620

15 Keystone Dr
Ste E
Hattiesburg, MS 39402
Phone (601) 606-6326

2117 Broadway Dr
Hattiesburg, MS 39402
Phone (601) 288-8050

300 Cahal St
Hattiesburg, MS 39401
Phone (601) 582-9157

415 S 28th Ave
Hattiesburg, MS 39401
Phone (601) 261-3606

415 S 28th Ave
Fl 1
Hattiesburg, MS 39401
Phone (601) 288-5200

6051 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-2690

6051 U S Highway 49
Fl 5
Hattiesburg, MS 39401
Phone (601) 288-8510

305 W Moody St
#H
Poplarville, MS 39470
Phone (601) 795-4345

104 Highway 589
Purvis, MS 39475
Phone (601) 242-3030

206 Bay Ave
Richton, MS 39476
Phone (601) 788-6316

210 Bay Ave
Richton, MS 39476
Phone (601) 788-9222

1000 Highland Colony Pkwy
Ste 5203
Ridgeland, MS 39157
Phone (601) 427-4734

141 Township Ave
Ste 107
Ridgeland, MS 39157
Phone (601) 201-3121

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8276/brand/1/csg/1/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Landmark of CollinsCollins, MS, CCN 255215 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Feb 1, 2025
Feb 1, 2025
Windham House of HattiesburgHattiesburg, MS, CCN 255265 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Feb 1, 2025
Feb 1, 2025
The Myrtles Nursing CenterColumbia, MS, CCN 255272 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 11, 2021
Jun 11, 2021
Forrest General Hospital Skilled Nursing FacilityHattiesburg, MS, CCN 255335 Skilled nursing facility Corporate Director
Adp of the SNF		 Jan 1, 2025
Jan 9, 2026
Lamar Healthcare& Rehabilitation CenterLumberton, MS, CCN 255338 Skilled nursing facility Adp of the SNF Apr 1, 2017

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449446400000",
    "number": "1205891975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 630",
            "city": "COLUMBIA",
            "state": "MS",
            "postal_code": "394290630",
            "telephone_number": "601-261-2940",
            "fax_number": "601-261-2942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 SUMRALL RD",
            "city": "COLUMBIA",
            "state": "MS",
            "postal_code": "394292654",
            "telephone_number": "601-261-2940",
            "fax_number": "601-261-2942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "CHARLES",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2015-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "17786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00126499",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7074524",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MS

Sources for this page

Verify at the official NPI Registry.